MEDICAL BILLER AND CODER

OUR VISION

To continue as an eminent healthcare provider on Long Island, dedicating ourselves to providing exceptional health care for all our patients and to transform both the lives of the individual, and the community, for the better, one person at a time.

OUR MISSION

To provide access to equitable, optimal healthcare by improving the overall wellness of all individuals in our communities and delivering high quality comprehensive patient centered care.

OUR VALUE PROPOSITION

To provide whole person care that will ensure that all patients have access to primary, specialty and social health care to achieve and maintain optimal wellness at a transparent and affordable cost.

The Harmony Healthcare Long Island, formerly known as (Long Island Federally Qualified Health Center or LIFQHC) is a non-profit healthcare organization with 7 health centers, providing primary care and preventative medicine in the following locations in Nassau County: Roosevelt, Elmont, Hempstead, Freeport, Oceanside, and New Cassel/Westbury. In addition, the Harmony Healthcare Long Island has 3 school-based health centers, WIC offices (Special Supplemental Nutrition Program for Women, Infants, and Children) in 3 locations, and a Health Home Care Coordination program. As federally qualified health centers, we serve the individuals in our communities, providing enhanced services, expanded hours and reduced prescription pricing, while raising the level of care. We treat patients regardless of income, residency or immigration status.

The Harmony Healthcare Long Island offers a stable employment opportunity with a growing company, and competitive base compensation along with health and dental insurance, paid time off, 401-K with company match, paid holidays, employee discounts and much more.

JOB TITLE: Medical Biller 

REPORTS TO: Director of Revenue Cycle 

The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of this position.

RESPONSIBILITIES:

• Preparing reviewing and transmitting claims

• Researching and appealing denied claims.

• Following up on unpaid claims within standard billing cycle timeframe

• Checking insurance payments for accuracy

• Coordinating with insurance companies regarding any discrepancy in payments

• Identifying and billing secondary or tertiary insurances

• Maintain strictest confidentiality according to HIPPA regulations

• analyze rejected and outstanding claims, troubleshoot errors and rejection codes, and correct and re-submit all denied claims.

• May process insurance payments, including balance billing to secondary insurance

• Regularly meet with Director and Assistant Director of Patient Revenue Cycle to discuss projects and resolve issues and billing obstacles

• Preform additional duties as requested by supervisor

· Utilizes coding knowledge to assist fellow billers in correcting denied and/or rejected claims

QUALIFICATIONS:

• Knowledge of FQHC billing requirements and insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems

• Familiarity with CPT and ICD-10 Coding

• Preferred knowledge of eClinicalWorks EMR software

• Must be PC proficient and able to thrive in a fast-paced setting.

• Experience with Microsoft Excel, and Word.

• Strong verbal and written communication skills

• Strong interpersonal and customer service skills required

• Ability to multi-task, work under pressure and meet deadlines required

• 2 years of medical billing experience

• Medical coding/billing certification from an accredited institution (AAPC or AHIMA)

• Reviewing claims to ensure coding accurac

SALARY: Commensurate with experience

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to perform a range of physical activities that are essential to the core work functions outlined in this document.

The Harmony Healthcare Long Island provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, gender, marital status, sexual preference and orientation, or non-disqualifying physical or mental handicap/disability in each aspect of the human resources function. Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The Harmony Healthcare Long Island shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.